| NPI | 1528484938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW22232) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22232) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2024-04-22 |