| NPI | 1366150518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC200003699) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 29620) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2025-07-07 |