| NPI | 1194297283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 24052) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 24052) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200001260) | |
| Enumeration Date | 2018-12-30 |
| Last Update Date | 2021-12-08 |