| NPI | 1184157067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 14379) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL SW14379) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-11-30 |