| NPI | 1689014441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 088980-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 085800-1) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2023-02-23 |