| NPI | 1801842679 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL sw7995) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL sw7995) | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL sw7995) | |
| 101YM0800X Counselor, Mental Health (Licence: FL sw7995) | |
| 101YS0200X Counselor, School (Licence: FL sw7995) | |
| 104100000X Social Worker (Licence: FL sw7995) | |
| 1041C0700X Social Worker, Clinical (Licence: FL sw7995) | |
| Enumeration Date | 2006-05-25 | 
| Last Update Date | 2020-07-31 |