| NPI | 1780304667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 010385) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 084100) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |