| NPI | 1750892139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 3910) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2021-12-15 |