| NPI | 1689061277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10314) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 1314) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2019-04-05 |