| NPI | 1629517610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 10344) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2018-12-12 |