| NPI | 1437880820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091896) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |