| NPI | 1740277334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 10947) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD 10947) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2017-08-04 |