| NPI | 1215443361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19675) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW19675) |
| 1041C0700X Social Worker, Clinical (Licence: FL IS11516) | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2022-05-10 |