| NPI | 1730314493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080179) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 011099) |
| 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-58544) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2025-12-03 |