NPI | 1053937342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 13795) |
Additional Taxonomies | 104100000X Social Worker (Licence: CT LCSW) |
Enumeration Date | 2020-06-22 |
Last Update Date | 2024-11-22 |