| NPI | 1568631893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9171) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215373) |
| 1041C0700X Social Worker, Clinical (Licence: MA 115810) | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2017-04-30 |