| NPI | 1467670596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006748) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CT C092010001550) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-05-22 |