| NPI | 1083120455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20627) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081465) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2022-03-02 |