| NPI | 1336356070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004619) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089108-01) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-11-18 |