| NPI | 1760227615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 123709) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-09-13 |