| NPI | 1528691177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW13869) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL ISW13869) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2024-02-29 |