NPI | 1780040600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11655) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 120747) |
Enumeration Date | 2016-01-07 |
Last Update Date | 2023-02-28 |