| NPI | 1174694202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME ME298967) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2023-10-31 |