| NPI | 1871003343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11082) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 3616) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2020-08-06 |