| NPI | 1508487497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20014) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH20014) |
| 101YP2500X Counselor, Professional (Licence: MH20014) | |
| 104100000X Social Worker (Licence: FL MH20014) | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2025-09-01 |