| NPI | 1720454028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 4735) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LCSW 221057) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2019-08-14 |