| NPI | 1477653871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 13780) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL ISW3622) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-02-07 |