| NPI | 1669228086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23651) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200003631) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2025-03-18 |