| NPI | 1487099966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12493) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122629) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2025-01-20 |