| NPI | 1497209167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11495) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 1330) |
| 171M00000X Case Manager/Care Coordinator (Licence: NY 098303) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2021-09-02 |