| NPI | 1578912754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11264) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW1810) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW126860) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 097704) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2024-04-24 |