| NPI | 1457719379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL ISW 9895) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2016-02-06 |