| NPI | 1619580529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12972) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 1357-P) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-05-12 |