| NPI | 1942630017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006118) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R042278) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |