| NPI | 1477088631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW16883) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: FL SW16883) |
| 104100000X Social Worker (Licence: FL SW16883) | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2024-06-13 |