| NPI | 1457450603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 002805) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 000163) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-01-15 |