| NPI | 1093396970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 14993) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098759) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2025-03-11 |