| NPI | 1346828191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 14838) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 6100) |
| 104100000X Social Worker (Licence: MA 000227846) | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-01-13 |