| NPI | 1134796071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22641) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH21236) |
| 104100000X Social Worker | |
| 251S00000X | |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2023-08-21 |