| NPI | 1467903732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8128) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW13944) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW13944) | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2022-07-27 |