| NPI | 1588681910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW2595) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH1735) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2016-06-15 |