| NPI | 1275159394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 5216) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 012172) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2022-06-21 |