| NPI | 1184914475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 58-TBD) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075904) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2015-02-13 |