| NPI | 1831567023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 3058) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 2211) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2019-10-07 |