| NPI | 1215060173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 011384) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071693) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2025-05-28 |