| NPI | 1225474471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084694) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 15273) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0136537TELE) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2405770) | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2025-12-05 |