| NPI | 1649783606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 10127) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 11998) |
| 1041C0700X Social Worker Clinical (Licence: NY 84793) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2023-01-17 |