| NPI | 1396519161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 09332) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD 09332) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |