| NPI | 1457693269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009490) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2013005739) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2024-05-07 |