| NPI | 1083957963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000983) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 29202) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2023-09-13 |