| NPI | 1538294475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 009527) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 113508) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-08-01 |