| NPI | 1154656999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 11139) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 117425) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2020-08-17 |