| NPI | 1912616731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19880) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 0904012631) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50082226) | |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |