| NPI | 1205117546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087389) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06048900) |
| 1041C0700X Social Worker, Clinical (Licence: CT 013414) | |
| 1041C0700X Social Worker, Clinical | |
| 104100000X Social Worker (Licence: NY 089303) | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2024-02-13 |