| NPI | 1992280333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080447-1) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |