| NPI | 1316378854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121896) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05557500) |
| 1041C0700X Social Worker, Clinical (Licence: CT 009392) | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2021-09-09 |