| NPI | 1245955699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 5657C) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD 29369) |
| 104100000X Social Worker (Licence: AL 5601G) | |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2024-08-22 |