| NPI | 1952600769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078836) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075569) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2013-11-04 |