| NPI | 1255038899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12170) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 21203) |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-03-29 |