| NPI | 1972913937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010103) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078515) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2019-08-13 |