| NPI | 1871142554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 5540) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0135222) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2022-02-25 |