| NPI | 1326118118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10529) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 063959-R) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-04-08 |