| NPI | 1902063035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010635) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078161) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2022-03-08 |