| NPI | 1114368040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008323) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117300) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |