| NPI | 1134606189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10459) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 3338) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2019-05-08 |