| NPI | 1033674437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 19073) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW19073) |
| 1041C0700X Social Worker, Clinical (Licence: FL ISW13287) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2026-04-24 |