| NPI | 1134787757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22659) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LC50082098) |
| 101YM0800X Counselor, Mental Health (Licence: MD 22659) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0904011626) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50082098) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011626) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-04-25 |