| NPI | 1679353486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0911) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 117662) |
| 1041C0700X Social Worker, Clinical (Licence: CT 014400) | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-07-09 |