| NPI | 1932624111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088735) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 58.010202) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0134869TELE) | |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW1144) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 2227) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06335600) | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-05-08 |