| NPI | 1982394219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009652) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 122857-01) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW128117) | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2024-11-12 |