| NPI | 1750347621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 000734) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 000714) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2013-04-30 |