| NPI | 1942722335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14610) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW14610) |
| 101YM0800X Counselor, Mental Health (Licence: FL SW14610) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |