| NPI | 1043647373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9940) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 000826) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2024-01-22 |