| NPI | 1861623860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080572) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080521) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2013-05-17 |