| NPI | 1013401769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: MD 20014) | |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2023-03-15 |