| NPI | 1710275839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15202) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD 15202) |
| 101YM0800X Counselor, Mental Health (Licence: MD 15202) | |
| 101YS0200X Counselor, School (Licence: MD 15202) | |
| 104100000X Social Worker (Licence: MD 15202) | |
| 1041S0200X Social Worker, School (Licence: MD 15202) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2020-01-08 |