| NPI | 1902422488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 1727) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2024-11-13 |