| NPI | 1881279453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22879) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD 886629299) |
| 104100000X Social Worker | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2022-05-13 |