| NPI | 1356625099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 8478) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW8478) |
| 101YS0200X Counselor, School (Licence: FL SW8478) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2025-02-20 |