| NPI | 1124556329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14926) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW14926) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089-0117235) | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2023-03-22 |