| NPI | 1942976329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097771) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 4589) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-06-05 |