| NPI | 1710394192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078709-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 9284) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2021-02-26 |