| NPI | 1245460146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114447) |
| Enumeration Date | 2009-07-26 |
| Last Update Date | 2012-04-13 |