| NPI | 1366159584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 5818) |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2024-05-24 |