| NPI | 1588064885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 009663) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 079940) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2018-03-17 |