| NPI | 1861656720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077564) |
| Additional Taxonomies | 104100000X Social Worker |
| 251S00000X | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2014-10-16 |