| NPI | 1528620770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 58.012672) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2024-09-25 |