| NPI | 1811939390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078801R) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 003903) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2012-01-20 |