| NPI | 1629462536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007924) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 007924) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2016-02-18 |