| NPI | 1598416497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL SW16015) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: FL SW16015) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-04-27 |