| NPI | 1356642607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010052) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086313) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2025-02-15 |