| NPI | 1861706475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 011849) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 216354) |
| 104100000X Social Worker (Licence: CT 5132) | |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2022-01-20 |