| NPI | 1649661323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 12378) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW12378) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2024-07-22 |