| NPI | 1568062834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 5368) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 12603) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2025-02-24 |