| NPI | 1326775743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 18925) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50082732) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |