| NPI | 1497515951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 004425) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 093563) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |