| NPI | 1083184089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 073726) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005555) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2024-08-23 |