| NPI | 1679839997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 1237) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081357) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2017-06-08 |