| NPI | 1285274944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11883) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 4664) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2022-01-11 |