| NPI | 1518629419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 13643) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 6114) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2024-03-01 |