| NPI | 1225195563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10434) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114905) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-10-13 |