| NPI | 1033542626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078964) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17951) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011070) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2025-05-01 |