| NPI | 1427820737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12962) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 094688) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |