| NPI | 1821480112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010873) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 027905255) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2022-09-16 |