| NPI | 1548770753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088874) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 9629) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2019-10-22 |