| NPI | 1700250321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 013364) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 002692) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2023-10-31 |