| NPI | 1215335096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 018415174) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2019-01-07 |