| NPI | 1912008061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006510) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01565) |
| 1041C0700X Social Worker, Clinical (Licence: MA 110254) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-02-10 |