| NPI | 1538543079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010238) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 1981) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2018-07-18 |