| NPI | 1023522406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008405) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CT 6831128544) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW03635) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW023829) | |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2024-10-01 |