| NPI | 1245770213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LC50081703) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 21683) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2025-01-18 |