| NPI | 1245848829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082761) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 123056) |
| 1041C0700X Social Worker, Clinical (Licence: MA 223921) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2022-05-25 |