| NPI | 1982000360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10120) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 093384) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2018-10-10 |