| NPI | 1306678339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11011) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW03085) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |