| NPI | 1023830817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017435) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200003393) |
| 1041C0700X Social Worker, Clinical (Licence: MD 32858) | |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2025-03-14 |