| NPI | 1124452529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010141) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LSW-2054) |
| 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4134) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2018-12-26 |