| NPI | 1629441720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL MH13653) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13653) |
| 104100000X Social Worker (Licence: FL MH13653) | |
| 171M00000X Case Manager/Care Coordinator (Licence: FL MH13653) | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2021-04-01 |