| NPI | 1093258600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18706) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 59-196-4034) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2024-09-11 |