| NPI | 1750786976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 08345) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200001469) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2024-12-26 |