| NPI | 1013307933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008747) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200001507) |
| 1041C0700X Social Worker, Clinical (Licence: MD 28095) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011327) | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2023-11-08 |