| NPI | 1881025435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 011301) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090890) |
| 1041C0700X Social Worker, Clinical (Licence: NY 085406) | |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2023-11-02 |