| NPI | 1851874192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007769) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116255) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |