| NPI | 1467769752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 1467769752) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 1467769752) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 1720798317) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ 1720798317) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 1467769752) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 1720798317) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2026-08-01 |