| NPI | 1710350897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008683) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CT 008683) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2018-07-10 |