| NPI | 1740752856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001937) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001150) |
| 405300000X Prevention Professional (Licence: CT CPS-3902) | |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |