| NPI | 1659607042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9172) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L5843) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2023-10-27 |