| NPI | 1649921024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015909) |
| 1041C0700X Social Worker, Clinical (Licence: CT 58.013373) | |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2024-01-04 |