| NPI | 1922236066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 7123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW7123) |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2024-06-25 |