| NPI | 1841693835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11888) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095467) |
| 1041C0700X Social Worker, Clinical (Licence: NY 087092) | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2021-12-10 |