| NPI | 1831656404 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: DC LC50082502) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 19447) | 
| Enumeration Date | 2019-03-01 | 
| Last Update Date | 2020-08-28 |