| NPI | 1649786955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 14097) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2024-10-25 |