| NPI | 1891368973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 12509) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 224235) |
| 1041C0700X Social Worker Clinical (Licence: NY 093840) | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-01-04 |