| NPI | 1366183378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12836) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 12836) |
| 104100000X Social Worker | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-06-26 |