| NPI | 1568012771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 24332) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 10992) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2025-06-08 |