| NPI | 1295178705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw11310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW11310) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2025-09-03 |