| NPI | 1639699556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009662) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 58.009662) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-07-06 |