| NPI | 1699315788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081910) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC LC50081910) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2022-04-19 |