| NPI | 1285249557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW15753) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VI 0472181B) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW15753) | |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2021-11-12 |