| NPI | 1851734289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 12090) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 12090) |
| 1041C0700X Social Worker, Clinical (Licence: MD 12090) | |
| 106H00000X Marriage & Family Therapist (Licence: MD 12090) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2021-04-27 |