| NPI | 1306623624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 013737) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 126882) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-09-09 |