| NPI | 1982609277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW2761) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW2761) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2007-07-08 |