| NPI | 1689268542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 119098) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |