| NPI | 1306317946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012288) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 093138) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2025-06-21 |