| NPI | 1770896995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080491) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 008992) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2019-09-13 |