| NPI | 1275096950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50082016) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 25248) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2022-10-17 |