| NPI | 1275603805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007202) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R056084-1) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2019-10-01 |