| NPI | 1053897983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12390) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097930) |
| 1041C0700X Social Worker, Clinical (Licence: NY 092548) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2024-11-15 |