| NPI | 1972757441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080101) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078290) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2012-12-06 |