| NPI | 1225589914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 084819-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 010881) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2023-04-17 |