| NPI | 1730377383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082084) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2019-12-23 |