| NPI | 1023888773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW22377) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22377) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL SW22377) | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-10-22 |