| NPI | 1285651174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 14913) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 66363) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW7289) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2025-11-05 |