| NPI | 1033667605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10769) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 4021) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2024-03-07 |