| NPI | 1699488049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 117371) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06525000) |
| 1041C0700X Social Worker, Clinical (Licence: CT 015521) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 117371) | |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2025-09-06 |