| NPI | 1912602525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200002772) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 27456) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-02-02 |