| NPI | 1396396354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW21694) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW21694) | |
| Enumeration Date | 2019-09-21 |
| Last Update Date | 2023-07-05 |