| NPI | 1689240673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW18400) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2026-04-02 |