| NPI | 1508482829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 13806) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 29290) |
| 174400000X Specialist | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-10-21 |