| NPI | 1174053425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 010291) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 085450) |
| 1041S0200X Social Worker School (Licence: CT 010291) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-11-10 |