| NPI | 1487284071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21767) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200001720) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2022-03-26 |