| NPI | 1588391437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23695) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 5777G) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2025-08-25 |