| NPI | 1750759122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 20088) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: DC LC50078934) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2021-11-30 |