| NPI | 1114746773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: DE Q3-0011420) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 36466) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2025-12-29 |