| NPI | 1083065809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20416) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL MH20416) |
| 101Y00000X Counselor | |
| 171M00000X Case Manager/Care Coordinator (Licence: FL MH20416) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-01-20 |