| NPI | 1962051128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27902) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081969) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2026-04-08 |