| NPI | 1578937918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14586) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW14586) |
| 104100000X Social Worker | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2018-10-08 |