| NPI | 1487038220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW14859) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW14859) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2024-08-01 |