| NPI | 1013510940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26628) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG50083490) |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2020-11-22 |