| NPI | 1710042171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 004081) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 074679) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2022-01-21 |