| NPI | 1376839068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14030) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-07-21 |