| NPI | 1003398173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10310) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 091277) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |