| NPI | 1750752689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 8344) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 8344) |
| 1041S0200X Social Worker, School (Licence: CT C102014000329) | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |