| NPI | 1780225615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12730) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 4451) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2023-05-11 |