| NPI | 1205253721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW11311) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 11311) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2026-07-22 |