| NPI | 1790804540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR017937-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA cw015899) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-02-22 |