| NPI | 1619032232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007567) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 3867) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2011-03-30 |