| NPI | 1609418649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012112) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 902307) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2023-06-12 |