| NPI | 1285156836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010504) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 3804) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2020-04-20 |