| NPI | 1205580248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21056) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200003307) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2024-10-07 |