| NPI | 1417440801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088940) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 010184) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-08-07 |