| NPI | 1144730367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10934) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 003925) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2023-07-10 |