| NPI | 1316330061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006477) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 128206) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2024-08-27 |