| NPI | 1528884954 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: DE Q3-0000353) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DE Q3-0000353) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-10 |