| NPI | 1245622323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW14835) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 251B00000X Case Management | |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2020-10-16 |