| NPI | 1114498268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11167) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 11167) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2022-08-31 |