| NPI | 1861828139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 009510) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW15147) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2021-12-16 |