| NPI | 1881751782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009127) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI iswo1270) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2024-04-09 |