| NPI | 1376725481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001650) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 829) |
| 104100000X Social Worker (Licence: CT 001891) | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2016-06-11 |