| NPI | 1548503139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 008280) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2016-03-04 |