| NPI | 1225587009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9144) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 1922) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CT 6533) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2020-04-20 |