| NPI | 1548870074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 13161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 4692) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2023-07-14 |