| NPI | 1215150420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5186) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH5186) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH5186) | |
| 101YP2500X Counselor, Professional (Licence: FL MH5186) | |
| 104100000X Social Worker (Licence: FL MH5186) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2019-10-08 |