| NPI | 1073485702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 14236261-3502) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW2141230) |
| 104100000X Social Worker (Licence: CT 11111) | |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |