| NPI | 1962874677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 002741) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 002741) |
| 104100000X Social Worker (Licence: CT 002741) | |
| 1041S0200X Social Worker, School (Licence: CT 002741) | |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |