| NPI | 1750806436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MT3384) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL MT3384) |
| 1041C0700X Social Worker, Clinical (Licence: FL MT3384) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT3384) | |
| 171M00000X Case Manager/Care Coordinator (Licence: FL MT3384) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-11-09 |