| NPI | 1881889376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 9510) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 3324) |
| 104100000X Social Worker (Licence: TN 7091) | |
| 103K00000X Behavior Analyst (Licence: FL SW 9510) | |
| 101YM0800X Counselor, Mental Health (Licence: FL LCSW) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 3324) | |
| 101YP2500X Counselor, Professional (Licence: FL SW 9510) | |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2014-09-08 |