| NPI | 1992901813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 070440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 9286215) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2013-09-10 |