| NPI | 1841955333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 016438) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 128582102) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2026-07-21 |