| NPI | 1689351900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200002729) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-07-10 |