| NPI | 1457062564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 115672) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 6366) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2026-01-06 |