| NPI | 1710437553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 003014) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 221402) |
| 1041C0700X Social Worker, Clinical (Licence: RI CSW1908) | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |