| NPI | 1629730791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 13363) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 5708) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2023-11-13 |