| NPI | 1760090559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098315) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 109651) |
| 1041C0700X Social Worker, Clinical (Licence: CT 14698) | |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2024-11-19 |