| NPI | 1669514907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 003433) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 003433) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2018-10-05 |