| NPI | 1154686319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL PMH2137) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH7999) |
| 104100000X Social Worker | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-01-13 |