| NPI | 1043820418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC303303) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 22944) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904010003) | |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-08-03 |