| NPI | 1114590593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098553) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 14592) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-11-15 |