| NPI | 1750069647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 117018) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 6644) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |