| NPI | 1619096286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007145) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 8223) |
| 1041C0700X Social Worker, Clinical (Licence: CT 7145) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-21 |