| NPI | 1427522689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17543) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: DC LC50082331) |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2021-08-21 |