| NPI | 1285188482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11292) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001315) |
| 1041C0700X Social Worker, Clinical (Licence: CT MSW.003371) | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2021-02-07 |