| NPI | 1891140752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10196) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 2188) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2018-04-20 |