| NPI | 1821534181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 13629) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 220672) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2024-03-07 |