| NPI | 1831267442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006255) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R042428-1) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2019-05-20 |