| NPI | 1841556719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 006838) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R032784) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2020-08-26 |