| NPI | 1376806422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006783) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 6783) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2023-03-03 |