| NPI | 1720593338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL ISW10074) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW15695) |
| 101YM0800X Counselor, Mental Health (Licence: FL SW15695) | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2026-03-12 |