| NPI | 1457981870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 4837) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 11853) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2022-01-31 |