| NPI | 1205607413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 014694) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 6819) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2026-01-12 |