| NPI | 1700648029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23470) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW23470) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-09-05 |