| NPI | 1366137390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 25561) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2024-10-23 |