| NPI | 1487005278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17407) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082086) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-01-25 |