| NPI | 1083203046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097870) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06442400) |
| 1041C0700X Social Worker, Clinical (Licence: CT 014863) | |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2025-05-14 |