| NPI | 1851933824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092330) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 104872) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW126320) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 12524) | |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2023-03-28 |