| NPI | 1932563343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12143) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 06-0669106) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2022-05-02 |