| NPI | 1871870840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY RO49455) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 1623758) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |