| NPI | 1245716109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11063) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 3455) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2023-10-02 |