| NPI | 1891337549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17808) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LC50081082) |
| 1041C0700X Social Worker, Clinical (Licence: SC 14063) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50081082) | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2021-06-16 |