| NPI | 1871157974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12588) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW12588) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SW12588) | |
| 101YM0800X Counselor, Mental Health (Licence: FL SW12588) | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |