| NPI | 1417653056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 15181) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 226404) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2025-11-14 |