| NPI | 1003597618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW26065) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL ISW18799) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2026-06-16 |