| NPI | 1497705107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 001403) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 001403) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001403) | |
| 101YP2500X Counselor, Professional (Licence: CT 001403) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 001403) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 001403) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-02-16 |