| NPI | 1811755853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22555) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW22555) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2025-08-13 |