| NPI | 1598172496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW16869) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C010364) |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2023-06-29 |