| NPI | 1700243490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012155) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT MSW.003114) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2023-01-04 |