| NPI | 1164064614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12273) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 494) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2022-07-22 |