| NPI | 1194342493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200002863) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50082225) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2024-08-07 |