| NPI | 1013628924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200003163) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 11541-123) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2024-07-10 |