| NPI | 1194125112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 12553) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095891) |
| 1041C0700X Social Worker Clinical (Licence: NY 089996) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2023-12-21 |