| NPI | 1972055374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 58.010663) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 003364) |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2022-06-24 |