| NPI | 1477128098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 5287) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 013272) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2024-02-13 |