| NPI | 1194511949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093761) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 14692) |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |