| NPI | 1457087942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 14672) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 6541) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2024-11-12 |