| NPI | 1962001859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200001490) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 26063) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2022-06-29 |