| NPI | 1063031144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 5198) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 118320) |
| 1041C0700X Social Worker, Clinical (Licence: CT 58.012571) | |
| 1041S0200X Social Worker, School (Licence: CT 4204268615) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2023-03-27 |