| NPI | 1407452501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11691) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927168) | |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2023-08-07 |