| NPI | 1356827463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 011267) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 004016) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2021-10-20 |