| NPI | 1174116263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 25649) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106405) |
| 104100000X Social Worker (Licence: DC LG50083215) | |
| 1041C0700X Social Worker Clinical (Licence: MD 25649) | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2022-11-30 |