| NPI | 1275155285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 5089) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071337-1) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |