| NPI | 1700483229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097488) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 110600) |
| 1041C0700X Social Worker, Clinical (Licence: CT 014173) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2024-09-03 |