| NPI | 1841587698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 8550) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079452) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2014-07-09 |