| NPI | 1710496302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21079) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011846) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2023-05-01 |