| NPI | 1316172851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW17375) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 048130) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW17375) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2024-07-18 |