| NPI | 1780848218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 079233) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 072391) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2014-02-04 |