| NPI | 1205589041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26731) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082661) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2024-03-22 |