| NPI | 1093566705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22617) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW22617) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-04-02 |