| NPI | 1790158814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50080587) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 18217) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2022-01-18 |