| NPI | 1063940765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11890) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 225111) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2023-02-23 |