| NPI | 1225626880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23758) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200001488) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2022-05-27 |