| NPI | 1407094584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW11056) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL SW11056) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2020-03-24 |