| NPI | 1104952068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13245) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 13245) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2024-01-28 |