| NPI | 1740707025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 011843) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CT 58.011843) | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2025-08-11 |