| NPI | 1255864609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL SW12891) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW12891) |
| 1041C0700X Social Worker Clinical (Licence: GA CSW006857) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-03-11 |