| NPI | 1053897983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 097930) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092548) |
| 1041C0700X Social Worker, Clinical (Licence: CT 12390) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2022-12-08 |