| NPI | 1356375703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 004842) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 004842) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-06-01 |