| NPI | 1619468204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 11538) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 000225947) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2018-05-20 |
| Last Update Date | 2022-11-28 |