| NPI | 1275802530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 005524) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 1029008) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |