| NPI | 1902629660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23714) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW23714) |
| 101YP2500X Counselor, Professional (Licence: FL SW23714) | |
| 102L00000X Psychoanalyst (Licence: FL SW23714) | |
| 104100000X Social Worker (Licence: FL SW23714) | |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |