| NPI | 1609198670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 8427) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1442) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2013-09-19 |