| NPI | 1861931354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17937) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW11831) |
| 101YM0800X Counselor, Mental Health (Licence: FL ISW11831) | |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2026-03-19 |