| NPI | 1396870036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW9396) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9396) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2026-01-27 |