| NPI | 1750774329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084919-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 8939) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2016-12-01 |