| NPI | 1295217297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12492) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 100740) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2024-09-12 |