| NPI | 1124636626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG50083475) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 25875) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-11-12 |