| NPI | 1942654900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9729) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 001302) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2017-03-10 |