| NPI | 1093300352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW18197) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 18197) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2023-06-02 |