| NPI | 1770002255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16422) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081026) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2019-08-29 |