| NPI | 1619241924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082233) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 9179) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2016-09-01 |