| NPI | 1093867509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009425) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077148) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2025-05-02 |