| NPI | 1205338357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 011779) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 3684) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2024-10-28 |