| NPI | 1659705028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 010057) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2025-09-17 |