| NPI | 1104313410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 11966) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 4202) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2023-08-17 |