| NPI | 1750868469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: CT 004340) | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2020-11-19 |