| NPI | 1194288936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 22377) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 22377) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |