| NPI | 1699459651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097167) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 14189) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-07-02 |