| NPI | 1922716711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 18439) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD 18439) |
| 104100000X Social Worker (Licence: MD 18439) | |
| 251B00000X Case Management (Licence: MD 18439) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 18439) | |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-01-07 |