| NPI | 1346763083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21739) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL 0000000) |
| 101YM0800X Counselor, Mental Health (Licence: FL SW21739) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2024-10-25 |