| NPI | 1316612369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200003117) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG50083740) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2024-01-22 |