| NPI | 1104253897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9617) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011000) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2026-07-17 |