| NPI | 1831518513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009214) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2015-09-02 |