| NPI | 1366690109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11946) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085263-1) |
| 104100000X Social Worker (Licence: MA 217650) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 011946) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2023-02-07 |