| NPI | 1114796455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 25773) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MD 30710) |
| 104100000X Social Worker (Licence: MD 30710) | |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2025-09-24 |