| NPI | 1982858155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 13375) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2023-10-12 |