| NPI | 1922661354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26945) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082549) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2021-10-14 |