| NPI | 1134821051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 12861) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 5171) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2024-07-15 |