| NPI | 1205144078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009062) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 9062) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2022-12-16 |