| NPI | 1275398968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 13742) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 58.013742) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-05-21 |