| NPI | 1538317177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009482) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116931) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2024-03-07 |