| NPI | 1588713200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19237) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010599) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC5008078) | |
| 1041S0200X Social Worker, School | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2025-05-20 |