| NPI | 1245572445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 17423) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080091) |
| 1041C0700X Social Worker, Clinical (Licence: MD 17423) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-08-31 |