| NPI | 1316672322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 28719) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD 28719) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-11-09 |