| NPI | 1679152441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21094) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: DC LG50081504) | |
| 104100000X Social Worker (Licence: MD 21094) | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-09-21 |