| NPI | 1962676437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071062-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12021) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |