| NPI | 1023871506 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW22369)  | 
| Enumeration Date | 2024-02-06 | 
| Last Update Date | 2024-03-29 |