| NPI | 1598379000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 11544) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 000226075) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2023-10-16 |