| NPI | 1184971566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086063) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 16689) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2026-04-15 |