| NPI | 1922235001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW20396) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical (Licence: PR 6769) | |
| 1041C0700X Social Worker Clinical (Licence: PR 9841) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2024-07-08 |