| NPI | 1053683888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 008981) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: 008981) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2019-08-07 |