| NPI | 1366087637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104516-1) |
| 104100000X Social Worker (Licence: MD 24176) | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2021-09-29 |