| NPI | 1679957070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 001062) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 011054) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2021-06-25 |