| NPI | 1376674358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006233) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075649-1) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-09-13 |