| NPI | 1811221872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 58.009653) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215241) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2016-08-26 |