| NPI | 1174112262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12267) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 5011) |
| 1041S0200X Social Worker, School (Licence: CT 7102946311) | |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-01-12 |