| NPI | 1972148005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082422) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: DC LG50082087) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2020-06-08 |