| NPI | 1841942422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 14043) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125790) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-11-07 |