| NPI | 1598284879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127907) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 3478) |
| 1041C0700X Social Worker, Clinical (Licence: CT 010889) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 10889) | |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2024-08-15 |