| NPI | 1285902908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL MH14946) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 14946) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2018-03-17 |