| NPI | 1528534187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093305) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 12975) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2023-10-06 |