| NPI | 1417335191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 005661) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |