| NPI | 1245879584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 12886) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 100590-1) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2023-06-02 |