| NPI | 1104426220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26341) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: FL SW22104) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200001248) | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2024-06-11 |