| NPI | 1568838209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15373) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: DC LC50079977) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2021-06-02 |