| NPI | 1558796201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 8668) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CT 000394) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2015-03-09 |