| NPI | 1326775180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW20226) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW20226) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-12-21 |