| NPI | 1578062816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 10085) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 77150) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2019-04-16 |