| NPI | 1942908975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 29502) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: MD 29502) | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-10-16 |