| NPI | 1790386308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 22718) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 22718) |
| 1041C0700X Social Worker, Clinical (Licence: MD 22718) | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |