| NPI | 1831391739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0764481) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069573-1) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2011-03-08 |