| NPI | 1548001837 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 30854) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 30854) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-07-09 |