| NPI | 1487271540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12772) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 1440) |
| 104100000X Social Worker (Licence: CT 5493) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-03-15 |