| NPI | 1477794790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14239) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2058) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2023-06-23 |