| NPI | 1336883792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG50083714) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4798) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-04-22 |