| NPI | 1629636451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 14437) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098834) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2026-06-16 |