| NPI | 1306463674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT MSW.5324) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-10-19 |