| NPI | 1467868737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9853) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200003217) |
| 1041C0700X Social Worker, Clinical (Licence: MD 32920) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2025-09-19 |