| NPI | 1699302653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26264) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082342) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2021-07-13 |