| NPI | 1639424781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 5881) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW10939) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2025-10-23 |