| NPI | 1992219414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 21781) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50081962) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2021-09-29 |