| NPI | 1255598801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 7218) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075636) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2023-11-27 |