| NPI | 1831334127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 006456) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CT 006456) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 006456) | |
| 104100000X Social Worker (Licence: CT 006456) | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2019-01-18 |