| NPI | 1770954919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9281) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 001496) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2024-03-15 |