| NPI | 1245627983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 01272021) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 12738) |
| 104100000X Social Worker | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2023-04-24 |