| NPI | 1336840800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW24451) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL SW24451) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2026-03-25 |