| NPI | 1952800997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 011482) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 4158) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2023-10-12 |