| NPI | 1215649710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 27892) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 27892) |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2022-12-16 |