| NPI | 1255003844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 27407) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 27407) |
| 104100000X Social Worker (Licence: DC 1274) | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2024-04-23 |