| NPI | 1508570292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW9241) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 9241) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2025-02-28 |