| NPI | 1477100550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 011752) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 000225130) |
| 1041C0700X Social Worker, Clinical (Licence: MA 1121487) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-12-23 |