| NPI | 1558906636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016318) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG50082076) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2023-11-03 |