| NPI | 1780334078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 4SC06192800) |
| 1041C0700X Social Worker, Clinical (Licence: CT 015212) | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2025-10-06 |