| NPI | 1467790121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 58.012505) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 084935) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2022-09-30 |