| NPI | 1033750773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 173371) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD 934) |
| 1041C0700X Social Worker Clinical (Licence: MD 173371) | |
| 1041S0200X Social Worker School (Licence: MD 173371) | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |