| NPI | 1992369441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW17572) |
| 101YM0800X Counselor, Mental Health (Licence: FL ISW12690) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2022-02-06 |