| NPI | 1497301279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 10689) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2020-01-23 |