| NPI | 1922389626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082221-1) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2015-08-14 |