| NPI | 1104546803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 002539) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 084561) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |