| NPI | 1902037195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 840404) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 056930-1) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2012-08-17 |