| NPI | 1538650973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17141) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL ISW12386) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-08-27 |