| NPI | 1932922523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23980) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081999) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |