| NPI | 1740816198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW16857) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW16857) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL SW16857) | |
| 101YM0800X Counselor Mental Health (Licence: FL SW16857) | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2023-12-12 |