| NPI | 1194976373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 8176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089241) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2015-02-04 |