| NPI | 1487023206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15460) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW15460) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: FL SW15460) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: FL SW15460) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: MA 124529) | |
| 1041S0200X Social Worker, School | |
| 1041S0200X Social Worker, School (Licence: FL SW15460) | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2023-01-06 |