| NPI | 1720244593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 15977) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: CA 24059) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 28459) | |
| 1041C0700X Social Worker, Clinical (Licence: TN 6461) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2020-04-02 |