| NPI | 1720638414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095108) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 13908) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2026-08-04 |