| NPI | 1265981153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 14023) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 090024) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2025-02-10 |