| NPI | 1124411558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010086) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116968) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2018-07-25 |