| NPI | 1851009609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 58.016249) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 118071-01) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2026-02-09 |