| NPI | 1639654130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9036) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CT C022017000741) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2019-08-07 |