| NPI | 1841531878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9474) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 1649) |
| 163W00000X Registered Nurse (Licence: CT E43376) | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2016-09-08 |