| NPI | 1831314285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006003) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY PR061950-1) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2017-09-20 |