| NPI | 1831308568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R0787941) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073140-1) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-12-30 |