| NPI | 1043895584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LG200001521) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 26541) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2024-08-16 |