| NPI | 1164032769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25879) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200002400) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2023-12-09 |