| NPI | 1699271650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW11427) |
| 1041C0700X Social Worker, Clinical (Licence: FL ISW11427) | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2023-03-20 |