| NPI | 1043885387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 015638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 137100) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2026-03-16 |