| NPI | 1992817340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 005250) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 060538-1) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-02-28 |