| NPI | 1831716687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL SW16867) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW16867) |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2024-09-11 |