| NPI | 1669220489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 31273) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG200003241) |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2026-07-17 |