| NPI | 1437895612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25027) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG50083170) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-10-12 |