| NPI | 1053843318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10869) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 3415) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2020-03-04 |