| NPI | 1447538269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17881) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2023-04-14 |