| NPI | 1245956341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 16773) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 006232) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2026-05-28 |