| NPI | 1255002176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW21249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW21249) |
| 1041C0700X Social Worker, Clinical (Licence: AL 6033C) | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2026-05-29 |