| NPI | 1407228570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15583) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW15583) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2023-08-27 |