| NPI | 1720556947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW18423) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW12706) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2024-02-08 |