| NPI | 1487281333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19913) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00945036) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2022-08-23 |