| NPI | 1710232756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW8803) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 8803) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2019-12-17 |