| NPI | 1114011160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116008) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 000531) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-01-16 |