| NPI | 1710697529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 012375) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 093493-01) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |