| NPI | 1962635839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 73072325) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 072325-1) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2011-01-12 |