| NPI | 1013689322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904014894) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 26354) |
| 1041C0700X Social Worker Clinical (Licence: DC LC200002471) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-01-24 |