| NPI | 1306312236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099537) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 099880) |
| 104100000X Social Worker (Licence: CT 4826) | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2025-02-14 |