| NPI | 1972743979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079351) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 078527) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2012-02-20 |