| NPI | 1306386057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW13815) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL SW13815) |
| 101YM0800X Counselor Mental Health (Licence: FL SW13815) | |
| 101YS0200X Counselor School (Licence: FL SW13815) | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2022-07-21 |