| NPI | 1164151262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 7177) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT MSW-temp) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2024-04-15 |