| NPI | 1962176412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13330) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW13330) |
| 1041C0700X Social Worker, Clinical (Licence: TN 8469) | |
| 1041C0700X Social Worker, Clinical (Licence: LA 17739) | |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2023-04-05 |