| NPI | 1164757654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11312) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 214862) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2025-05-14 |