| NPI | 1750621249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008667) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041S0200X Social Worker, School (Licence: CT 3956802942) | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2015-01-20 |