| NPI | 1770983967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10956) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 663744) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2020-03-16 |