| NPI | 1326786591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 28467) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 28467) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |