| NPI | 1740592039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004687) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CT C022010001374) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |