| NPI | 1255229688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 33367) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MD 33367) |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-25 |