| NPI | 1316698939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 09640) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD 09640) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2025-03-22 |