| NPI | 1811614514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 15528) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 6708) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2025-07-15 |