| NPI | 1649887209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LG50083600) |
| 1041C0700X Social Worker Clinical (Licence: MD 25988) | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-10-20 |