| NPI | 1770394249 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 24578)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 24578)  | 
| Enumeration Date | 2025-01-15 | 
| Last Update Date | 2025-01-15 |