| NPI | 1295400562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 011927) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 4832) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2023-05-12 |