| NPI | 1285143826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 18025) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50081293) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2024-06-20 |