| NPI | 1669084513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw17055) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW17055) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2023-03-22 |