| NPI | 1255637955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11518) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086187) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2024-01-11 |