| NPI | 1649396458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008015) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY PR067136-1) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-09-16 |