| NPI | 1700592755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 014045) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 005721) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-05-24 |