| NPI | 1962034546 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW20224)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010020)  | 
| 1041C0700X Social Worker, Clinical (Licence: FL 110983)  | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW20224)  | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-02-11 | 
| Last Update Date | 2025-04-16 |