| NPI | 1669544268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114835) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095672) |
| 1041C0700X Social Worker, Clinical (Licence: CT 13006) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2024-04-16 |