| 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 |