| NPI | 1063139293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200002304) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 25979) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2023-06-28 |