| NPI | 1457916397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007781) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 7781) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2020-03-10 |