| NPI | 1417378332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW 620) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW 620) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2017-01-11 |