| NPI | 1710186283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 00410) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 034939) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |