| NPI | 1649508821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008844) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076526) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2023-12-11 |