| NPI | 1689191850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091248) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 58.011225) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149018869) | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-12-20 |