| NPI | 1114404506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW22193) |
| 101YM0800X Counselor, Mental Health (Licence: NC C013404) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW22193) | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2024-03-27 |