| NPI | 1871092205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11193) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 1413) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2020-10-05 |