| NPI | 1861763971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 7000981) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 414996101) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |