| NPI | 1639785686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LC200001222) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 28313) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2024-08-21 |