| NPI | 1629504816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC 50081274) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 16011) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2022-02-05 |