| NPI | 1306253042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW8782) |
| Additional Taxonomies | 104100000X Social Worker |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-10-07 |