| NPI | 1922119114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006192) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw2814) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-09-06 |