| NPI | 1447879051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012412) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001365) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140867) | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-07-14 |