| NPI | 1831450121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009966) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 098293052) |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2022-04-26 |