| NPI | 1568014017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL Sw21965) |
| 163W00000X Registered Nurse (Licence: FL RN9478233) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2023-09-10 |