| NPI | 1962153981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15510) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081140) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |