| NPI | 1265525208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010274) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 068253-1) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-04-20 |