| NPI | 1033776364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27793) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G10639) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2024-04-25 |