| NPI | 1285176578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10735) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 3425) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2021-03-02 |