| NPI | 1972146488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 31994) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012423) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2025-02-27 |