| NPI | 1992105753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50078639) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 31333) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2025-06-30 |