| NPI | 1710322391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9377) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084733) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2021-05-26 |