| NPI | 1508452681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R022903) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01380100) |
| 1041C0700X Social Worker, Clinical (Licence: CT 012561) | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2023-01-18 |