| NPI | 1942375316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076409-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 070300-1) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-09-19 |