| NPI | 1407485212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19126) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079482) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |