| NPI | 1811549736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082509) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 23509) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2020-09-04 |