| NPI | 1093043390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH12726) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH6418) |
| 104100000X Social Worker | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2018-03-17 |