| NPI | 1073328498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 14864) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 014864) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-05-15 |