| NPI | 1467196279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 58.011644) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-07-30 |