| NPI | 1245505924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006133) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R069675-1) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2021-09-15 |