| NPI | 1700395118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20931) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200003571) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2024-09-11 |