| NPI | 1174037816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16084) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MCAP100387) |
| 101YM0800X Counselor, Mental Health (Licence: FL SW16084) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2022-05-24 |