| NPI | 1194497990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 58.014177) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 5246) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2024-10-09 |