| NPI | 1760012025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20188) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW20188) |
| 104100000X Social Worker (Licence: FL SW20188) | |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2022-09-15 |