| NPI | 1346839065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11266) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 11266) |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2021-01-26 |