| NPI | 1902123029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: MA 117727) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 011191) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2026-05-04 |