| NPI | 1104778273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 15847) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 090400) |
| Enumeration Date | 2026-02-11 |
| Last Update Date | 2026-02-11 |