| NPI | 1770007148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11263) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4247) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2020-12-04 |