| NPI | 1336593672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 002710) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2022-01-29 |