| NPI | 1801444500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12540) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 4746) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-01-18 |