| NPI | 1124215207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9291) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079082) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2016-11-16 |