| NPI | 1346853298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 013225) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 5319) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-10-16 |