| NPI | 1881259687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW22024) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22024) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904010916) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2024-01-11 |