| NPI | 1649804931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 122642) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081623) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2022-10-06 |