| NPI | 1487369880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW22270) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22270) |
| 1041C0700X Social Worker, Clinical (Licence: MN 29024) | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2025-12-31 |