| NPI | 1083811145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw4741) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW4741) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2023-04-03 |