| NPI | 1740316520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW4717) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW4717) |
| 1041C0700X Social Worker, Clinical (Licence: NC C005456) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2025-02-13 |