| NPI | 1235769092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 011915) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 4888) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2022-01-18 |