| NPI | 1780125732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL ISW20603) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2025-11-04 |