| NPI | 1235801002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092208) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 110933) |
| 1041C0700X Social Worker, Clinical (Licence: CT 13077) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2024-02-06 |