| NPI | 1801190418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 7300781) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: NY 251300000X) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |