| NPI | 1275898751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19640) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 19640) |
| 106H00000X Marriage & Family Therapist (Licence: MD 19640) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50080241) | |
| 106H00000X Marriage & Family Therapist (Licence: DC LC50080241) | |
| 101YP2500X Counselor, Professional (Licence: DC LC50080241) | |
| 101YM0800X Counselor, Mental Health (Licence: DC LC50080241) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC LC50080241) | |
| 101YP2500X Counselor, Professional (Licence: MD 19640) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 19640) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2016-07-01 |