| NPI | 1710345327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10157) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 002159) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2018-08-30 |