| NPI | 1265215479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker School (Licence: DC LG200002462) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 30517) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-07-15 |