| NPI | 1104420306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 5487) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 13307) |
| Enumeration Date | 2020-11-28 |
| Last Update Date | 2024-09-19 |