| NPI | 1669971982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10442) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 3584) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2023-07-07 |