| NPI | 1134628241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73-085011) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085011) |
| 1041C0700X Social Worker, Clinical (Licence: CT 12069) | |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2023-05-24 |