| NPI | 1689076044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096151) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 121193) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2023-10-04 |