| NPI | 1184282873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20548) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 20548) |
| 101YM0800X Counselor, Mental Health (Licence: MD 20548) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2024-06-05 |