| NPI | 1518477561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 14022) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135761TELE) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06055600) | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2024-05-15 |