| NPI | 1669971982 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 010442)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 10442)  | 
| 104100000X Social Worker (Licence: CT 3584)  | |
| Enumeration Date | 2018-02-02 | 
| Last Update Date | 2025-05-13 |