| NPI | 1255084562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 28106) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC 20003010) |
| 1041C0700X Social Worker, Clinical (Licence: MD 28106) | |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-10-21 |