| NPI | 1922343003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 9233) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 001423) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2022-05-04 |