| NPI | 1649990797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 13086) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 0000000) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-06-24 |