| NPI | 1972125441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11705) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 4925) |
| 1041C0700X Social Worker, Clinical (Licence: MA 124530) | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2024-02-08 |