| NPI | 1750757126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 58.010762) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT MSW.002363) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2022-08-16 |