| NPI | 1265165419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 008250) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 072777) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-20 |