| NPI | 1649950460 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22326)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082830)  | 
| Enumeration Date | 2023-07-18 | 
| Last Update Date | 2023-07-18 |