| NPI | 1558074294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 24735) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 24735) |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2023-05-24 |