| NPI | 1780175042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LG50082947) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 23209) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-10-18 |