| NPI | 1932512738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 4015) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73029062) |
| 1041S0200X Social Worker, School (Licence: CT C032012001897) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |