| NPI | 1003042193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12352) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW12352) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2022-11-23 |