| NPI | 1558583500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23638) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL SW23638) |
| 101YM0800X Counselor, Mental Health (Licence: FL SW23638) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SW23638) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2025-09-15 |