| NPI | 1245595990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 11138) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 11138) |
| 1041C0700X Social Worker, Clinical (Licence: TX 63197) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2023-04-14 |