| NPI | 1518732775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 222241) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200002310) |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |