| NPI | 1255847927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14113) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL SW14113) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2022-09-07 |