| NPI | 1972387694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 16126) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 129201) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2026-04-30 |