| NPI | 1255760237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009448) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 009448) |
| 1041C0700X Social Worker, Clinical (Licence: MA 219066) | |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2023-08-22 |