| NPI | 1568647659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 000920) |
| 1041C0700X Social Worker, Clinical (Licence: CT 000920) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2013-10-31 |