| NPI | 1811579584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 11306) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104765) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-06-21 |