| NPI | 1497121891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088052) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095068) |
| 1041C0700X Social Worker, Clinical (Licence: CT 011412) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-01-09 |