| NPI | 1033776828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11511) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 4555) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2022-08-19 |