| NPI | 1942560917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R051186 -1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007566) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |