| NPI | 1891170262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 15035) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125158) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2025-04-01 |