| NPI | 1740848795 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082396) | 
| Additional Taxonomies | 104100000X Social Worker | 
| Enumeration Date | 2019-06-04 | 
| Last Update Date | 2024-08-20 |