| NPI | 1710558770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23018) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080756) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-09 |