| NPI | 1790124956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087543) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2023-11-20 |