| NPI | 1093200461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW109162) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 002030) |
| 1041C0700X Social Worker, Clinical (Licence: NY 091490) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 58.010729) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2022-09-22 |