| NPI | 1962991158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091567) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 099059) |
| 1041C0700X Social Worker, Clinical (Licence: CT 10554) | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2021-09-08 |