| NPI | 1194047548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945189) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 15530) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2024-08-08 |