| NPI | 1982485165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 13687) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 5982) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2024-02-07 |