| NPI | 1134739634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200002893) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 25673) |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2024-12-10 |