| NPI | 1023606001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 23574) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 23574) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-22 |