| NPI | 1487118485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010250) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 126654) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2025-07-16 |