| NPI | 1326388620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LCSW) |
| 101YM0800X Counselor, Mental Health (Licence: FL SW9350) | |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2022-01-27 |