| NPI | 1073490603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 30302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG200002653) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |